Strongyloides & Fatal Malpractice

BeachSG (beachsg at aol.com) wrote:
: A patient with disseminated strongyloidiasis was treated with the wrong
: medication. The patient died. This incident occurred at the Mount Sinai
: Medical Center in New York City and was reported by Susan Morgello, et al., in
: an article titled "Central nervous system Strongyloides stercoralis in acquired
: immunodeficiency syndrome: a report of two cases and review of the literature,"
: _Acta Neuropathologica_ (1993) 86:285-288.
: The patient was treated with pyrantel pamoate, which is not effective against
: Strongyloides stercoralis. See _Drug Evaluations_, 1991 edition, page 1556,
: published by the American Medical Association. In contrast, pyrvinium pamoate
: is effective against Strongyloides stercoralis. See "Strongyloidiasis treated
: with Pyrvinium Pamoate," _Journal of the American Medical Association_, volume
: 193, number 10, September 6, 1965.
: Oops?
oops, indeed. parasitological pathology received a total of 2
lectures here at UNMC this year, plus a couple of pharm lectures.
i wonder if it receives a similarly low amount of coverage at
other medical schools in the U.S....
devin
--
Devin Nickol
dnickol at netserv.unmc.edu